Infectious prostatitis is a common disease of the prostate which can lead to complications. Antibiotics for prostatitis are the main goal of treatment and are selected based on the results of tests. You cannot take antibacterial drugs without a doctor's prescription. Anyone dealing with this disease needs to know which groups of drugs exist and how they differ.
When do you need antibiotics?
Before using any medication, you should definitely consult your doctor.
There are several types of diseases:
- acute infectious (bacterial) prostatitis;
- chronic bacterial prostatitis;
- chronic non-infectious prostatitis.
Taking antibiotics is not always recommended. Drugs of this group are active only against pathogens, but do not have a general anti-inflammatory effect.
Antibiotics for prostatitis are indicated only if the inflammation of the organs is caused by the activity of pathogenic microorganisms in the prostate. In all other cases, an antibiotic for prostatitis in a man will be ineffective.
The main problem with the treatment of prostatitis is that many men are wary of antibiotics, seeing them as harmful or dangerous. It is important to remember: neglected prostatitis is dangerous and is not a correctly selected antibiotic taken on the recommendation of a doctor in accordance with the dosage and treatment regimen.
Antibiotic for prostatitis and adenoma is prescribed only in the presence of bacterial inflammation. Drugs in this group are effective only against bacteria and show no activity against viruses or fungi.
Antibiotics for chronic prostatitis are prescribed only if there is a focus of chronic infection in the prostate. Chronic bacterial prostatitis develops due to improper or insufficient treatment of acute bacterial prostatitis. Very often the disease becomes chronic due to the fact that the man has self-medicated and taken drugs that are ineffective against a certain pathogen. As a result, pathogenic microorganisms develop resistance to drugs, and the disease becomes chronic, remembering itself with periodic complications.
The main antibiotic indication for the treatment of prostatitis in men is acute bacterial inflammation of the prostate.
In case of congestive or chronic non-infectious prostatitis, it is not recommended to take such drugs. This is due to the mechanism of development of such inflammation. Congestive prostatitis is a consequence of a sedentary lifestyle and other reasons leading to a violation of the trophism of the prostate and thickening of the prostatic secretion. Inflammation occurs due to the fact that the secret of the prostate cannot leave the lobules of the organ, it begins to accumulate and squeeze the gland. There is no infectious focus with such a disease, which means that taking antibiotics does not make sense. To treat this form of inflammation, special anti-inflammatory drugs are used, which should not be confused with antibiotics.
The most effective drugs
No doctor will ever tell a patient about the existence of the best antibiotics for prostatitis, because there are simply no such drugs. There are several groups of antibiotics for men used in the treatment of prostatitis. In each group there are many names of active substances active against various bacteria. An effective antibiotic for prostatitis is a drug selected taking into account the features of the course of the disease in a particular man.
When prescribing a drug, the following criteria are met:
- causative agent of the disease;
- form of prostatitis;
- the drugs the man has taken in recent months;
- presence of other chronic diseases.
To determine which antibiotic is best for prostatitis, it is necessary to take a bacterial culture of the secretion from the prostate. This analysis allows you to identify the causative agent of the disease and determine its sensitivity to various active substances.
In general, acute bacterial prostatitis is treated fairly effectively with the right antibiotics. Usually two weeks' treatment is enough to get rid of the disease forever.
Treatment of chronic bacterial inflammation is often complicated by resistance of microorganisms to antibacterial drugs. In this case, either synthetic antimicrobial agents are prescribed, or combined antibacterial therapy with several different drugs at once. The first option is better, but the duration of treatment is increased to 28 days or more.
What are fluoroquinolones and when are they used?
Thepills are useful for treating prostatitis with antibiotics at home, although the injections are generally more effective and faster. At the same time, it is important to choose a drug that effectively penetrates the tissues of the prostate, despite oral administration. Recently, men began to treat various diseases with antibiotics, often using drugs for other purposes, resistant forms of pathogenic microorganisms are quite often found that are not sensitive to common antibiotics. In this case, doctors give preference to drugs from the group of fluoroquinolones.
Fluoroquinolones are the only antibacterial drugs that have no natural analogues.
These drugs are completely synthetic, developed by chemists, and not taken in nature. They are distinguished by a wide spectrum of antimicrobial activity. The main advantage of using these drugs is that the disease causing agent cannot develop resistance to fluoroquinolones, which means that these drugs remain effective with repeated treatment.
The distinguishing features of this group of drugs are as follows:
- wide range of actions;
- no negative impact on the digestive tract;
- practical release form;
- ease of use;
- minimum side effects;
- can be taken at any age;
- penetrates well into the prostate tissue.
These drugs are convenient to take because they are prescribed one tablet per day. However, the duration of treatment is, as a rule, quite long, since despite the fact that the drug penetrates the tissues of the prostate, its concentration slowly increases, so the course of administration usually lasts for several weeks. Since there are practically no side effects, it does not have a negative impact on health.
In addition, medicines in this group do not affect the functions of the liver and kidneys, so they can be used in the treatment of patients over 65 years of age, but only after prior agreement with the attending physician.
The use of penicillins in the treatment of prostatitis
One of the oldest groups of antibacterial drugs is the penicillin antibiotics. Drugs of this group are well studied, but today they are no longer effective enough, since most microorganisms very quickly develop resistance to the active substance.
The advantage of these drugs is their rapid elimination from the body and their minimal effect on liver function. The main disadvantage is low bioavailability and poor penetration into prostate tissue.
To date, the only drug still used in the treatment of prostatitis is a combined penicillin antibiotic. It contains clavulanic acid, which enhances its action and provides an immunostimulating effect.
Preparations in this group should only be used with acute inflammation. Long-term administration of the drug is ineffective, since the causative agent of the disease quickly becomes resistant to its action. Usually the drug is prescribed for 7-10 days, no more.
Drugs of the tetracycline group
Tetracycline antibiotics are often prescribed for bacterial prostatitis. The advantages of these drugs:
- variety of forms of release;
- a wide range of antimicrobial activities;
- fast efficiency;
- low cost.
Most often, pills or injections are prescribed. If it is necessary to use suppositories with an antibiotic for prostatitis, such drugs can be found in the group of tetracyclines.
The downside of these drugs is their detrimental effect on the gastrointestinal tract. They must be taken in combination with antihistamines and probiotics, otherwise dysbiosis cannot be avoided.
Due to side effects and contraindications, urologists prescribe such drugs as a small course of treatment and only in cases of acute inflammation.
What are the specialties of macrolides?
When asked which antibiotics are best for prostatitis, many doctors mention macrolides. The main feature of this group of drugs is their low toxicity and the absence of side effects. They are well tolerated by the body and do not cause allergic reactions. They are used as an independent agent, without the need to simultaneously administer hepatoprotectors, antihistamines or probiotics.
While some doctors actively prescribe macrolides for prostatitis, others argue that these drugs are ineffective for chronic bacterial inflammation.
Macrolides have several dozen names. The latest generation of drugs from this group is distinguished by an interesting form of release - a gel or a suspension. They are convenient to take and the liquid form ensures rapid absorption of the drug. In addition, drugs in this group are highly bioavailable and penetrate well into the tissues of inflamed organs.
The main contraindications are mental disorders and depression. Long-term use of drugs from this group is potentially dangerous for the development of psychopathological syndromes in people with a tendency to such diseases.
When do cephalosporins work?
Cephalosporins are good antibiotics for prostatitis. They perfectly treat bacterial prostatitis, leaving no chance for pathogenic microorganisms. The downside is a pretty impressive list of contraindications and side effects. In addition, drugs in this group require correct selection of dosage, therefore, they should only be prescribed by a doctor.
Benefits of drugs in this group:
- high efficacy against pyogenic bacteria;
- quick action;
- good penetration into prostate tissue;
- no negative impact on the microflora of the stomach.
The main disadvantage is the strong hepatotoxicity and the load on the kidneys, and therefore drugs of this type are not prescribed for elderly patients. Another pressing issue is the long list of negative drug interactions. In other words, while taking these antibiotics, you should stop taking any other medicine.
Antibacterial suppositories
Having determined which antibiotics for prostatitis are used and which names may be useful for men in the future, you should pay attention to suppositories for infectious prostatitis with antibiotics.
Topical application is an advantage of these preparations. Suppositories work in the immediate vicinity of the prostate, so that the active substance is quickly absorbed through the walls of the rectum and directly enters the tissues of the inflamed organ.
In addition to antibiotic suppositories, antiseptic drugs and anti-inflammatory suppositories may be prescribed for prostatitis.
Medicines in the form of suppositories can be used in combination with antibiotic tablets. For example, chronic prostatitis is often treated with oral macrolides in addition to treatment with suppository macrolides. You can also use drugs from the tetracycline series with suppositories.
The duration of use of rectal suppositories is determined on an individual basis. They are usually prescribed for a period of two weeks or more.
Antibiotic suppositories for prostatitis may have side effects. Often with prolonged use of this form of the drug, intestinal dysbiosis is observed.
Natural antibacterials
In addition to pharmaceutical preparations, treatment can be carried out with natural remedies with antimicrobial properties. Of course, natural antibiotics have significantly lower effectiveness than special drugs, but they can be used in chronic bacterial prostatitis to enhance the therapeutic effect of other drugs.
Nature's Most Powerful Antimicrobial Agent:
- honey;
- propolis;
- garlic;
- celandine.
Honey has a pronounced immunostimulatory effect. Men are advised to eat it for both prevention and treatment of prostatitis. In addition, homemade suppositories are based on honey.
Propolis is a powerful natural antibiotic and antiseptic. You can make propolis suppositories yourself or buy them at the pharmacy.
Garlic helps fight chronic prostatitis of both infectious and non-infectious nature. It is often suggested to be used to make candles, adding sea buckthorn oil, which accelerates tissue regeneration.
Celandine has a pronounced antimicrobial activity and is used as decoctions and microclysters.
Making suppositories at home
Garlic is good for treating prostate problems.
To prepare antimicrobial suppositories, you need to stock up on a solid basis of fat. Cocoa butter or beeswax can also be used as a base for candles.
The base should be melted in a water bath, gradually adding the active ingredient. Then the product is mixed and poured into a mold. You can also pour the resulting mass on a plastic wrap, then twist the ends to form a "sausage" and leave in the refrigerator for an hour. After the mixture has hardened, it is cut into small suppositories, about 3-4 cm long. The proportions depend on the active ingredient used.
- To make candles with honey, you need 50 g of base and 25 g of honey. Before using such suppositories, intolerance to bee products should be excluded.
- One of the most effective remedies for prostatitis is a suppository containing propolis and honey. To prepare the drug, you need to take 50 g of beeswax, 25 g of honey and 10 g of propolis.
- Sea buckthorn oil suppositories are recommended to reduce inflammation. To prepare them, melt 2 parts of the base and add a part of sea buckthorn oil to them. Using the same recipe, you can make candles made from pumpkin oil.
- Home treatments can be done with garlic. Squeeze 3 cloves of garlic, pour 50 ml of sea buckthorn oil and leave in the refrigerator for 24 hours. Then 25 ml of garlic oil is mixed with 50 ml of cocoa butter and candles are formed.
These suppositories should be used once or twice a day. They are injected into the rectum, after performing a cleansing enema.
Particularities of antibiotic treatment
Antibiotic treatment for prostatitis is established by a doctor on an individual basis. Usually, antibiotic treatment for chronic prostatitis takes 4 to 5 weeks, and acute prostatitis is treated within two weeks.
Each drug has its own characteristics, contraindications and side effects. They are detailed in the official instructions for use, which should be read before starting treatment.
Self-medication with antibiotics is not allowed. You should take the prescribed medications daily, without missing or stopping the intake until the end of the course.
It should be remembered that it is impossible to cure bacterial prostatitis without antibacterial drugs.